• Registered Nurse Case Mgr RN…

    HCA Healthcare (Aventura, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (08/09/25)
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  • Case Manager, Registered Nurse…

    CVS Health (FL)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (10/02/25)
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  • Registered Nurse Case Mgr

    HCA Healthcare (Davie, FL)
    …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr with HCA Florida University Hospital you ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr to help us...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (09/26/25)
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  • Clinical Registered Nurse…

    Cognizant (Tallahassee, FL)
    …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,… more
    Cognizant (10/07/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …active FL RN license required within90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** + ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...**Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
    HCA Healthcare (10/05/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …FL RN license required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** + ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...**Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
    HCA Healthcare (09/21/25)
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  • Oncology Prior Authorization Case Manager, Non-…

    University of Miami (Miami, FL)
    …of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts ... initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review...reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the… more
    University of Miami (09/25/25)
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  • Registered Nurse Cardiac Holding…

    HCA Healthcare (Panama City, FL)
    …encourage you to apply for our Registered Nurse Cardiac Holding RN opening. Our team will promptly review your application. Highly qualified candidates ... colleagues in their positions. Join our Team as a(an) Registered Nurse Cardiac Holding RN ...Hospital. Prioritizes and organizes patient flow to ensure best utilization of time. Is given general guidance and is… more
    HCA Healthcare (10/07/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Orange Park, FL)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (10/07/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... well-balanced work life balance The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
    AdventHealth (09/27/25)
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